Sequeira-Lopez Maria Luisa S, Nagalakshmi Vidya K, Li Minghong, Sigmund Curt D, Gomez R Ariel
Department of Pediatrics, University of Virginia School of Medicine, Charlottesville, Virginia; and
Department of Pediatrics, University of Virginia School of Medicine, Charlottesville, Virginia; and.
Am J Physiol Regul Integr Comp Physiol. 2015 Sep 15;309(6):R650-7. doi: 10.1152/ajpregu.00313.2015. Epub 2015 Aug 5.
Renin, the key regulated enzyme of the renin-angiotensin system regulates blood pressure, fluid-electrolyte homeostasis, and renal morphogenesis. Whole body deletion of the renin gene results in severe morphological and functional derangements, including thickening of renal arterioles, hydronephrosis, and inability to concentrate the urine. Because renin is found in vascular and tubular cells, it has been impossible to discern the relative contribution of tubular versus vascular renin to such a complex phenotype. Therefore, we deleted renin independently in the vascular and tubular compartments by crossing Ren1(c fl/fl) mice to Foxd1-cre and Hoxb7-cre mice, respectively. Deletion of renin in the vasculature resulted in neonatal mortality that could be rescued with daily injections of saline. The kidneys of surviving mice showed the absence of renin, hypertrophic arteries, hydronephrosis, and negligible levels of plasma renin. In contrast, lack of renin in the collecting ducts did not affect kidney morphology, intra-renal renin, or circulating renin in basal conditions or in response to a homeostatic stress, such as sodium depletion. We conclude that renin generated in the renal vasculature is fundamental for the development and integrity of the kidney, whereas renin in the collecting ducts is dispensable for normal kidney development and cannot compensate for the lack of renin in the vascular compartment. Further, the main source of circulating renin is the kidney vasculature.
肾素是肾素-血管紧张素系统中关键的受调控酶,可调节血压、水电解质平衡及肾脏形态发生。肾素基因的全身缺失会导致严重的形态和功能紊乱,包括肾小动脉增厚、肾积水以及尿液浓缩功能障碍。由于在血管和肾小管细胞中均发现有肾素,因此难以区分肾小管肾素与血管肾素对这种复杂表型的相对贡献。因此,我们分别将Ren1(c fl/fl)小鼠与Foxd1-cre和Hoxb7-cre小鼠杂交,从而在血管和肾小管部分独立敲除肾素。血管中肾素的缺失导致新生小鼠死亡,每日注射生理盐水可挽救其生命。存活小鼠的肾脏显示无肾素、动脉肥厚、肾积水,且血浆肾素水平可忽略不计。相比之下,在基础状态或应对诸如钠缺乏等稳态应激时,集合管中肾素的缺失并不影响肾脏形态、肾内肾素或循环肾素。我们得出结论,肾血管中产生的肾素对于肾脏的发育和完整性至关重要,而集合管中的肾素对于正常肾脏发育并非必需,且无法补偿血管部分肾素的缺乏。此外,循环肾素的主要来源是肾血管。